Organization
AESTHETIC & RECONSTRUCTIVE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER QUAY THOMPSON JR. M.D. (PRESIDENT)
(402) 778-5555
Entity
Organization
Contact information
Practice address
2727 S 144TH ST STE 205, OMAHA, NE 68144-5230
(402) 778-5555
(402) 778-5550
Mailing address
2727 S 144TH ST STE 205, OMAHA, NE 68144-5230
(402) 778-5555
(402) 778-5550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11216
NE
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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